04D2164159 CLIA NUMBER - HULL DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 04D2164159
  • Facility Name: HULL DERMATOLOGY
  • Facility Address: 896B MADISON 3275
    HUNTSVILLE, AR
    ZIP 72740
  • Facility Phone: 479 254-9662
  • Facility Type: Other - REMOTE STATION DERMPATH
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CHERYL A. HULL
  • NPI Number: 1407082464
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2164159
LAB Type Other - REMOTE STATION DERMPATH
Facility Name HULL DERMATOLOGY
Street 896B MADISON 3275
City HUNTSVILLE
State AR
ZIP 72740
Phone 479 254-9662
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Other - REMOTE STATION DERMPATH
Lab Director DR. CHERYL A. HULL

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This page was last updated on: 9/29/2025